Diabetes Mellitus
Conditions
Keywords
Inpatient, Computer Physician Order Entry, Diabetes Mellitus
Brief summary
Retrospective cross-sectional study measuring the impact of a computer=based insulin correction protocol and nursing inservicing on diabetes outcomes
Detailed description
This study is a retrospective cross-sectional study at one institution, where the investigators compared diabetic patients admitted to Medicine Services from March-April 2006 (before CPOE was implemented) to patients admitted from October-November 2007 (one year after CPOE implementation). Capillary blood glucose values, Hemoglobin AIC, diabetes medication profile and demographic data were obtained to compare between groups. The investigators hypothesized that a computer-based protocol that emphasizes basal-bolus and correctional insulin orders and excludes sliding scale, in conjunction with nursing personnel inservicing, improves outcomes.
Interventions
None listed
Sponsors
Cook County Health
Study design
Observational model
COHORT
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Clinical diagnosis of Diabetes Mellitus
Exclusion criteria
* Admitted to Non-Medicine Hospital Services
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Mean Inpatient Glucose | From day of admission to hospital until day of discharge from hospital | Baseline glucose |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of hyperglycemic patient-days | From day of admission to hospital until day of discharge from hospital | Percentage of inpatient days above glucose target |
| Percentage of Patient-days with glucose less than 70 mg/dl | From day of admission to hospital until day of discharge from hospital | Percentage of inpatient days below glucose target |
| Percentage of Patients with inpatient or recent (less than 6 months) hemoglobin AIC | From day of admission to hospital until day of discharge from hospital | Percentage of patients with recent A1c |
| Percentage of normoglycemic (70 to 150 mg/dl) patient-days | From day of admission to hospital until day of discharge from hospital | Percentage of inpatient days at glucose target |
| Distribution of oral hypoglycemic use | From day of admission to hospital until day of discharge from hospital | Rate of oral diabetes medication use |
| Distribution of type of insulin therapy used | From day of admission to hospital until day of discharge from hospital | Rate of insulin use |
| Percent of patient-days with severe hypoglycemia | From day of admission to hospital until day of discharge from hospital | Percentage of patient days with glucose below 55 mg/dL |
| Length of stay | From day of admission to hospital until day of discharge from hospital | Number of days inpatient |
Countries
United States
Outcome results
None listed